Background to this inspection
Updated
2 November 2016
We undertook an unannounced focused inspection of Quinta Nursing Home on 6 and 7 October 2016. This inspection was done to check that improvements to meet legal requirements required by the Care Quality Commission and those planned by the provider after our inspection of 16 and 17 May 2016 inspection had been made. An inspector inspected the service against aspects of three of the five questions we ask about services: is the service safe, effective and well-led. This is because the service was not meeting some legal requirements in these areas.
Before the inspection the provider completed a Provider Information Return (PIR). This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make. We reviewed the information included in the PIR along with information we held about the service, for example, statutory notifications. A notification is information about important events which the provider is required to tell us about by law.
Prior to the inspection we spoke with a commissioner of the service. During the inspection we spoke with six people and one relative. We spoke with three care staff, a nurse, a domestic, the registered manager and the clinical lead. We also spoke with the community matron about the service.
We reviewed records which included eight people’s care plans, four staff recruitment and supervision records and records relating to the management of the service.
Updated
2 November 2016
The inspection took place on 6 and 7 October 2016 and was unannounced. Quinta Nursing Home is registered to provide accommodation and support to 41 people. At the time of the inspection there were 25 people living there.
We carried out an unannounced comprehensive inspection of this service on 16 and 17 May 2016. Breaches of legal requirements were found in relation to safeguarding, clinical governance, safe care and treatment, consent, and requirements relating to workers. The provider was served with two warning notices requiring them to meet the safeguarding regulation by 4 July 2016 and the clinical governance regulation by 12 September 2016. Following the comprehensive inspection, the provider wrote to us to say when they would meet the legal requirements in relation to safe care and treatment, consent and requirements relating to workers.
We undertook this focused inspection to check that they had met the requirements of the two warning notices and followed their action plan in relation to the breaches of the other three regulations. This report only covers our findings in relation to those requirements. You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for Quinta Nursing Home on our website at www.cqc.org.uk.
The service had a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.
People told us they felt safe. Staff were provided with relevant information to enable them to safeguard people and understood their role. Where incidents had occurred staff had completed an incident form and a body map where required. The registered manager took appropriate actions and reported potential safeguarding incidents to Social Services as the lead agency as required.
People told us the service was clean. Staff were provided with appropriate infection control guidance which they followed they also used the personal protective equipment provided. Previously damaged and worn furniture and equipment such as bed sides and commodes had now been replaced to ensure they could be cleaned thoroughly. Cleaning of the service was completed in accordance with the cleaning schedule and checks were made upon the quality of the cleaning of the service for people.
Processes were in place to ensure potential staff had a sufficient grasp of English for their role. Staff’s suitability for their role had been assessed by the provider however, not all staff had provided a full employment history dating from when they left full-time education. The registered manager took prompt action during the inspection to ensure the required evidence in relation to employment history was obtained for all staff.
People’s written consent to the content of their care plan had been sought and where people lacked the capacity to consent to their care legal requirements had been met.
A range of audits had been completed and were being used to drive improvements for people. Audits were being used to enable the registered manager to identify any trends in incidents and falls both across the course of particular months and across time. People’s views were being sought by the registered manager to enable them to identify areas for improvement.
There was written guidance about people’s diabetes care on their records for staff’s reference. People’s re-positioning and mattress records were complete. People’s fluid charts had been completed by care staff and totalled. The clinical lead took action during the inspection to ensure people had a target fluid intake. The registered manager took action during the inspection to ensure a staff member was delegated to print off photographs of people’s wounds and place them in their records. Improvements had been made to record keeping within the service and further improvements were being made for people.